Local Health Department Billing Manual

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Overview

Risk mitigation starts with understanding compliance guidelines. 

Document Title	Date	Expiration	Source
General Information
​Availity Lifeline: Self-Service Resources for Providers, Health Plans, and Trading Partners​	No date​	No date​	​Availity
​Cyberattack on Change Healthcare​	Mar-2024​	​No date	​U.S Department of Health and Human Services​
​Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates​	​Mar-2024	​No date	​U.S. Department of Health and Human Services
​OCR Opens HIPAA Compliance Investigation of Change Healthcare​	Mar-2024​	​No date	​The HIPPA Journal
​HHS Statement Regarding the Cyberattack on Change Healthcare​	​Mar-2024	​No date	​U.S. Department of HHS
​The Cyberattack on Change Healthcare Health Center FAQs​	​Mar-2024	​No date	​National Association of Community Health Centers
​Healthcare Cybersecurity standards tied to federal aid under new bill​	​Mar-2024	​No date	​Modern Healthcare
​UnitedHealth Group Confirms Data Stolen in Change Healthcare Ransomware Attack​	Mar-2024​	No date​	​The HIPPA Journal
​ Skynet May not yet be a threat but complacency is​	​Mar-2024	No date​	​RKW Law Group
​CMS Restricting Access to Healthcare Datasets Will Cause Long Term Damage to Public Health​	​Mar-2024	​No date	​The HIPPA Journal
​​Ransomware Attack on Maryland Psychotherapy Provider Results in HIPAA Penalty​	Feb-2022​	​No date	​The HIPPA Journal
​Proactive Cyber Exposure Management: A Comprehensive Guide​	​Jan-2023	No date​	​MRCS
​ Information Blocking Toolkit ​	Sep-2023​	No date​	​ MGMA
​Medical Mutual Self-Assessment Form​	​No date	No date​	​
OIG FY2023 Work Plan	Sep-2022	No Date
HHS Proposes New Protection to Increase Care Coordination and Confidentiality for Patients with Substance Use Challenge	Nov-2022	No Date	HHS
PDMP Use Mandate Frequently Asked Questions	Jan-2023	No date	MDH
12 Most Common Medical Practice Technology Security Mistakes	No date	No date
CMS Public Health Service Act Provider and Facility Requirements Presentation	No date	No date	CMS
Compliance Resource Medicare	Mar-2021​	No date	CMS
Fraud Abuse Medicare Products	No date	No date	MDH
Guidance on Request for Exceptions from Standards to Permit Testing of Proposed Modifications	No date	No date
Information Blocking New Applicability Dates Included in ONC Interim Final Rule​​	Jun-2020	No date
MD Insurance Request for Confidentiality 2017	Jun-2017	No date
MDH Corporate Compliance Program and Addendum	Oct-2019	No date	MDH
MDH Corporate Compliance Program and Addendum	Jan-2012	No date
Minor Consent Laws - MD 2012​	No date	No date	Medical Association
PDMP Use Mandate Prescriber Fact Sheet May 2018	Jun-2018	No date	MDH
OIG Provider Compliance Program Guidance	No date	No date
​Kaiser Compliance and Regulatory Policy ​	No date​	No date​	​Kaiser
​MD Insurance Commissioner Provider Issues​	​No date	No date​	​Maryland Insurance  Administration
​Compliance Program Guidance​	Apr-2023​	No date​	​Office of Inspector General
​Federal Register OIC Compliance Program​	​Oct-2023	​No date	​Office of Inspector General
​ 24 State Attorneys General Confirm Support for Stronger HIPAA Protections for Reproductive Health Data​​	Jun-2023​	​No date	​ The HIPAA Journal
​ HIPAA Compliance Matrix.xlsx​	​Jun-2023	​No date	​Medical Revenue Cycle Specialists
​ Refining Your Leadership Posture by Setting the Tone for Your Organization​	​ Jan-2022	​ No date	​ Oncology Practice Management​
​ Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care​	Apr-2022​	No date​	​Office of Inspector General
​Limitation on Recoupment of Overpayments​	Sep-2023​	No date​	​Billing & Coding
​ Medicare Provider Compliance Tips​​	​ No date	No date​	​ CMS
​ Information Blocking Toolkit for Medical Groups​	​ Sep-2023	No date​	​
​ Optum Compliance issues 1 - 9.28.23.pdf (optum.com)​	​ Oct-2023	No date​	​ Billing & Coding
​HHS Publishes proposed rule establishing information blocking disincentives for healthcare providers​	Oct-2023​	​No date	​The HIPPA Journal
​ AHA Files Lawsuite challenging HHS guidance on tracking technologies​	​ Nov-2023	​No date	​ The HIPPA Journal​
​Cyber Security Action Team Q3 2023 Threat Horizons Report​	​Nov-2023	No date​	​Google Cloud Threat Horizons
​​CMS
​Medical Record Maintenance & Access Requirements​	​May 2023	No date​	​Medicare Learning Network
​Request for Records Disposition Authority​	​Jul-2017	​No date	​National Archives & Records Administration-CMS: Medicare &Medicaid Financial Records Retention
Compliance Review Program	No date	No date
2021 Compliance Review Program Findings	May-2022	No date
​Payment Error Rate Measurement Program​	​No date	No date​	​
​Medicare Claim Review Programs​	Sep-2016​	No date​	​CMS​
​ Regulatory Brief: 2024 Medicare Advantage Part D Proposed Rule​	​May-2023	​No date	​MGMA
​Medicare Fee-for-Service Compliance Programs | CMS​	​Sep-2023	No date​	​CMS
​ CMS MLN4824456 – Medicare Provider Compliance Tips (cms.gov)​	​No date	No date​	​CMS
​	​	​	​
HIPAA
​GAO: FDA Should Update Medical Device Cybersecurity Agreement​	​Dec-2023​	No date​	​The HIPPA Journal
​CitrixBleed Vulnerability Requires Urgent Action as Ransomware Groups Scale Up Attacks​	Dec-2023​	​No date	​HIPPA Journal​
HHS Office for Civil Rights Issues Bullentin on Requirements on HIPAA for online tracking Technologies to Protect the Privacy and Security of Health Information	Dec-2022	No date	HHS
HIPAA Employee Access Tracking Guide	2016	No date	MDH
HIPAA Tracking Employee Access	2021	No date	RSF
Patient Confidentiality Challenges Infographic	No date	No date
​HIPAA and Telehealth​	No date​	​No date	​Telehealth Technology.org
​ HHS, FTC Warn Hospitals and Telehealth Providers About Third Party Tracking Tech​	​Jul-2022	No date​	XTelligent IT Security
​ Tips for Healthcare Organizations Handling Negative Online Reviews​	​Aug-2023	No date​	​ JD Supra
​ HIPAA and Telehealth_Expiration of COVID-19 Public Health Emergency HIPAA Notifications of Enforcement Discretion​	​Apr-2023	​ Aug-2023	​ CMS
​ Cybersecurity Agencies Share 2022's Most Commonly Exploited Vulnerabilities​	Aug-2023​	​ No date	​ The HIPPA Journal
​ Use of Online Tracking Technologies​	​Jul-2023	No date​	​Office for Civil Rights-DHHS
​ Guidance: How the HIPAA Rules Permit Covered Health Care Providers and Health Plans to Use Remote Communication Technologies for Audio-Only Telehealth | HHS.gov​	​ No date	No date​	​HHS
​ HIPAA Basics for Providers: Privacy, Security & Breach Notification Rules​	Feb-2023​	​No date	​ CMS
No Surprises Act
​No Surprises Act​	​Dec-2023	​No date	​CMS
​FAQ for Providers About the No Surprises Rules​	Apr-2022​	No date​	​CMS
​IMPLEMENTING THE NO SURPRISES ACT​	Sep-2023​	No date​	​MGMA
​Implementing the No Surprises Act in Family Planning Settings​	Nov-2022​	​No date	​National Family Planning & Reproductive Health Association
​No Surprises Act Toolkit​​	​Jan-2022​	No date​	​​AMA​
No Surprise Billing Rules: Co-Provider Requirements Begin in 2023	Nov-2022	No date
No Surprise Act Good Faith Estimate Template CMS	No date​	No date
Standard Notice and Consent Surprise Billing Protection Forms for Nonparticipating Providers​	Jan-2022	Mar-2022
The No Surprise Act​	Jan-2022	No date
​ Federal Independent Dispute Resolution Process - Status Update​	​ Apr-2023	​ No date	​
Partial Report on the IDR Process​​	​ Dec-2022	​No date	​
​ Ending Surprise Medical Bills​​	​ May-2023	No date​	​MGMA
​​Stark Law / Anti Kickback Statute
Temporary Stark Law waivers during COVID-19​	​Dec-2020	No date​	​AMA
​COVID-19 Blanket Waivers Section 1877​	Mar-2020​	No date​	​AMA
​​Billing & Coding
​Optum Compliance_Issues_PHP_IOP_2.7.24.pdf (optum.com)​	​Feb-2024	​No date	​Optum
Compliance_Issues_PHP_IOP_2.7.24.pdf (optum.com)​​​	​Feb-2024	No date	​Payer

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